DR. MICHAEL JONATHAN KHADAVI (MD) – Sports Medicine (Physical Medicine & Rehabilitation) Physician, NPI 1003050204

DR. MICHAEL JONATHAN KHADAVI (MD) is a healthcare provider. based in Overland park, Kansas. specializing in PHYSICAL MEDICINE AND REHABILITATION, SPORTS MEDICINE. They hold the professional credentials MD. They hold a License No. 2010026613 (MO). The NPI Number for DR. MICHAEL JONATHAN KHADAVI (MD) is 1003050204

Main info

Male
17 Years Of Experience
Accepts Medicare Assignment
Name
DR. MICHAEL JONATHAN KHADAVI (MD)
NPI
1003050204
Phone
(913) 642-0200
Address
10777 NALL AVENUE
Enumeration Date
1 May 2009
Last Update Date
30 September 2022

Doctor Profile

Medical School Name
UNIVERSITY OF KANSAS SCHOOL OF MED (KC/WICH/SAL)
Secondary Phone
-
Graduation Year
2009 (17 years ago)
PAC ID
8921283490
Group Practice PAC ID
1153225479
Professional Enrollment ID
I20110427000145
Address ID
KS662111910LE3651XBLVD300
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience72
Completeness75
Years active:17State licenses:2Digital endpointsOther names

84 PHYSICAL MEDICINE AND REHABILITATION in KS

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Provider Addresses for DR. MICHAEL JONATHAN KHADAVI (MD)

  • KU Center for Advanced Reproductive Medicine, 10777, Nall Avenue, Overland Park, Johnson County, Kansas, 66211, United States

    SUITE 300

    OVERLAND PARK, KS 66211

    Phone: (913) 642-0200

    Fax: (913) 563-6699

    Type: Mailing

  • 10777 NALL AVE STE 300

    OVERLAND PARK, KS 662111330

    Phone: (913) 642-0200

    Fax: (913) 563-6699

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 78 Open Payments records for all available years, with a total value of $110,992.

Total Amount is formed as General ($110,992) + Research ($0) + Ownership ($0) = $110,992.

Last reported payment date: 2024-11-14 • Largest payer in this snapshot: Arthrex, Inc. ($110,805).

Total Amount

$110,992

General + Research + Ownership

Payments

78

Total payment records

General Amount

$110,992

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-11-14

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2014-10-29

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 2 Medicare enrollment records; no due dates published yet.

Enrollment records

2

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20110427000145IPhysical Medicine And RehabilitationMOTBD
I20141029002409IPhysical Medicine And RehabilitationKSTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
J7318Hyaluronan or derivative, durolane, for intra-articular injection, 1 mg1,62017$0
J3301Injection, triamcinolone acetonide, not otherwise specified, 10 mg764117$0
99213Established patient office or other outpatient visit, 20-29 minutes376232$0
20611Aspiration and/or injection of fluid large joint using ultrasound guidance180123$0
64483Injection of anesthetic and/or steroid drug into sacral spine nerve root using imaging guidance, single level177132$0
View full utilization report →

Insurance plans in this area (ZIP 66211)

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Provider's Procedures

DR. MICHAEL JONATHAN KHADAVI (MD) performs procedures in PHYSICAL MEDICINE AND REHABILITATION. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
PHYSICAL MEDICINE AND REHABILITATIOMO20610Aspiration and/or injection of large joint or joint capsule10338
PHYSICAL MEDICINE AND REHABILITATIOMO64493Injections of lower or sacral spine facet joint using imaging guidance3720
PHYSICAL MEDICINE AND REHABILITATIOMO76942Ultrasonic guidance imaging supervision and interpretation for insertion of needle2925

Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 1153225479View full group profile
NameSpecialtyState
Orthopedic SurgeryKS
Orthopedic Surgery, Hand SurgeryKS
Orthopedic SurgeryKS
Sports Medicine, Orthopedic SurgeryKS
Orthopedic SurgeryKS
Orthopedic Surgery, Sports MedicineKS
-KS
Orthopedic SurgeryKS
-KS
Physical Therapist In Private PracticeMO

Reviews

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Frequently asked questions

How do payers reference DR. MICHAEL JONATHAN KHADAVI (MD)?
For DR. MICHAEL JONATHAN KHADAVI (MD), use NPI 1003050204 as the unique 10-digit identifier.
Active or inactive — what applies to DR. MICHAEL JONATHAN KHADAVI (MD)?
You should see DR. MICHAEL JONATHAN KHADAVI (MD) as active in CMS-hosted NPPES data.
How would a patient describe DR. MICHAEL JONATHAN KHADAVI (MD)'s focus?
For DR. MICHAEL JONATHAN KHADAVI (MD), the primary taxonomy reads as Sports Medicine (Physical Medicine & Rehabilitation) Physician. Clinical services aligned with this taxonomy classification.
What locale is associated with DR. MICHAEL JONATHAN KHADAVI (MD)?
Directory geography for DR. MICHAEL JONATHAN KHADAVI (MD) centers on Overland Park, Kansas.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

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